| NPI | 1316350762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY 53950) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: KY TP108) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 71411) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-05-27 |